BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SYNERGY

    MDR report key: 3252057 · Received July 29, 2013

    Report

    Report Number
    1020279-2013-00380
    Event Type
    Injury
    Date Received
    July 29, 2013
    Date of Event
    July 8, 2013
    Report Date
    July 8, 2013
    Manufacturer
    SMITH & NEPHEW, INC.
    Product Code
    JDH
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT REVISION SURGERY WAS REPORTED DUE TO DISLOCATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    352971 SYNERGY FEMORAL COMPONENT JDH SMITH & NEPHEW, INC. 12KM00651

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization| R